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Monitoring .System Certification <br />UST Monitoring Site Plan <br />Site Address: <br />sem. t. . . . . . . . . . . . . . . . . . . s................ <br />.................. <br />�o . . . <br />. . . . . . . <br />Q�. ...................... :�:;o.. .......... <br />........ ................. <br />.............................. <br />........................................... <br />............................................... <br />............................................... <br />.. .. <br />. . . . . . . `.'� . . . . . . . . . . . . . .L . . . . . . . . . . . . . . . . . . . . . . . <br />t� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . .�. . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />..................1 7.. ......................... <br />..................................................... <br />...................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />Date map was drawn: � %�� / 6 <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your <br />Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify <br />locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular <br />spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak <br />detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan <br />was prepared. <br />Page of 05/00 <br />